How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $6.61 Median $10.00 Typical High $13.80 | Facility | None | $6.61 | $10.00 | $13.80 |
Aetna Setting Professional Modifier None Typical Low $6.61 Median $7.08 Typical High $9.33 | Professional | None | $6.61 | $7.08 | $9.33 |
Ambetter Setting Professional Modifier None Typical Low $3.89 Median $3.89 Typical High $3.89 | Professional | None | $3.89 | $3.89 | $3.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.76 Median $7.76 Typical High $35.48 | Facility | None | $7.76 | $7.76 | $35.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.80 Median $10.72 Typical High $17.38 | Professional | None | $3.80 | $10.72 | $17.38 |
BCBS Kansas City Setting Facility Modifier None Typical Low $8.71 Median $11.48 Typical High $21.88 | Facility | None | $8.71 | $11.48 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $10.23 Median $16.98 Typical High $43.65 | Facility | None | $10.23 | $16.98 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $4.47 Median $8.91 Typical High $16.60 | Professional | None | $4.47 | $8.91 | $16.60 |
Medica Setting Facility Modifier None Typical Low $6.92 Median $13.49 Typical High $100.00 | Facility | None | $6.92 | $13.49 | $100.00 |
Medica Setting Professional Modifier None Typical Low $3.72 Median $5.50 Typical High $9.55 | Professional | None | $3.72 | $5.50 | $9.55 |
United Setting Facility Modifier None Typical Low $6.92 Median $6.92 Typical High $6.92 | Facility | None | $6.92 | $6.92 | $6.92 |
United Setting Professional Modifier None Typical Low $3.24 Median $5.75 Typical High $10.47 | Professional | None | $3.24 | $5.75 | $10.47 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.31 Median $3.31 Typical High $4.47 | Professional | 52 · Reduced service | $3.31 | $3.31 | $4.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.32 Median $1.32 Typical High $1.78 | Professional | 53 · Discontinued | $1.32 | $1.32 | $1.78 |
Where Missouri sits
The same service costs 3.2 times more in Alaska than in Maryland. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Missouri· 15th of 51
$9.33
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.